管有许可证申请表

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1、管有許可證申請表此欄由辦理機關填寫ForofficialuseonlyPL香港法例586章保護瀕危動植物物種條例動物標本Animalspecimens□ApplicationforaLICENCETOPOSSESS植物標本Plantspecimens□ProtectionofEndangeredSpeciesofAnimalsandPlantsOrdinance,Cap.586填寫此申請表前請先詳閱附加的注意事項內容Pleasereadtheattachednotesbeforefillinginthisapplicationform1.申請人姓名／公司名稱及地址NameofApplicant

2、/Company&Address2.存放地址Addressofkeepingpremises聯絡人姓名ContactPerson’sName…………………………………………………………電話傳真Telephone:.........................................Fax:....................................................電郵地址E-mailAddress…………………………………………………………………..3.公司的香港商業登記證號碼H.K.BusinessRegistrationNo.ofCompany...

3、..............................................或or申請者身分證/護照號碼IdentityCard/PassportNo.ofApplicant.............................................................4.用途：(請參考附加的注意事項)Purpose:(Pleaserefertoattachednotes)..........................................................動/植物標本詳細內容(如多於壹個物種，請填附頁。)Detailso

4、fAnimalsandPlantsspecimens(Ifmorethanonespecies,pleasefillinannex)序號No.15.(a)該標本根據下列管有許可證轉讓或進口許可證獲得Thespecimenswereacquiredunderthefollowinglicence:管有許可證號碼PossessionlicenceNo.:APO/PL....................................或OR進口許可證號碼ImportlicenceNo.:APO/IL...................................(b)先前供應商相關的標本交

5、易發票號碼及日期InvoiceNo.andDateofspecimensunderapplicationrelatingtotheprevioussuppliertotheapplicant……...........................................................................................................................................................................................................

6、...............................6.動/植物的物種Speciesofanimal/plant(a)學名（拉丁文名稱）ScientificName7.公約#附錄編號(Ⅰ、Ⅱ或Ⅲ）及來源(請參考附加的注意事項）CITES#AppendixNo.(I,IIorIII)andsource(pleaserefertoattachednotes)8.標本的描述(如活生、毛皮或根等）Descriptionofspecimens(e.g.live,skin,root)9.最高數量：數目(頭/件)、重量(公斤)等MaximumQuantity:number(head/pc),wei

7、ght(kg),etc.(b)俗名CommonName本人已閱畢附加的應注意事項及警告，並聲明上面各項填報詳情均為正確無訛。本人明白必須完全遵守證上所列各項條件，獲發的許可證方為有效。IhavereadtheattachednotesandwarningandIdeclarethatalltheparticularsgivenabovearetrueandcorrect.Iunderstandth